FORHAN A HUSSAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148405

License Status

NOT RENEWED

Business

First Name

FORHAN

Middle

Last Name

HUSSAIN

Business Name

FORHAN A HUSSAIN

Original Issue Date

04/30/2003

Effective Date

04/30/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005